Individual
KATELYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4403 RENAISSANCE DR, LOUISVILLE, KY 40299-6206
(502) 424-5735
Mailing address
4403 RENAISSANCE DR, LOUISVILLE, KY 40299-6206
(502) 424-5735
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1158143
KY
Other
Enumeration date
07/20/2021
Last updated
08/10/2021
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